Article Text

Download PDFPDF
Reduced frequent attendance: Could it be seasonal?
  1. E Bateman
  1. Emergency Department, St Georges Hospital, London, UK
  1. Correspondence to Dr E Bateman, Emergency Department, St Georges Hospital, London SW17 0QT, UK; elizabeth.bateman{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

I read with interest the article by Skinner et al1 assessing whether case management of frequent attenders to an urban emergency department reduces frequency of subsequent attendances. The case for multidisciplinary management of frequent attenders is well made, and the reported practice of case review and implementation of care plans is highly commendable.

However, a possible considerable limitation of this study is not fully elucidated in the authors’ discussion. Although mention is made that the reduction seen in attendances by frequent attenders after the case review “may be due to the natural ebb and flow in the presentations of these patients”, …

View Full Text


  • Competing interests None.

  • Provenance and Peer review Not commissioned; not externally peer reviewed.